Ellain Joy Demaisip Stoutenburg, APRN, FNP-C

NPI #1235772351 in Bryan, Texas

Provider Information

NPI Number
1235772351
Entity Type
Individual
Name
Ellain Joy Demaisip Stoutenburg, APRN, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN, FNP-C
Enumeration Date
Oct 21, 2019
Last Updated
Oct 21, 2019

Practice Location

Address
2215 E VILLA MARIA RD STE 110
City
Bryan
State
Texas
ZIP Code
77802-2585
Phone
(979) 776-2000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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